Office cervicoscopy versus stationary colposcopy in suspicious cervix: A randomized controlled trial

Abstract

Study Objective:The objective of the study was to estimate the diagnostic accuracy and doctor satisfaction of small caliber office cervicoscopy versus stationary colposcopy in diagnosis of ectocervical as well as endocervical lesions in women clinically presented with suspicious cervix.Patients and Methods:Eligible 112 cases with clinically suspicious cervix were randomized into Group A (56 cases) and Group B (56 cases) who were subjected to small caliber office cervicoscopy and stationary colposcopy, respectively. The outcome was the diagnostic accuracy and safety of both tools for detection of ectocervical and endocervical cervical lesions.Results:There was no statistically significant difference between both groups regarding parity, previous abortion, age at marriage, duration of marriage, and age at menarche and menopause. On unaided naked eye examination of the cervix (UNEE), there were no statistically significant differences between both groups. Diagnostic indices were similar in both groups apart from the finding that office cervicoscopy was more sensitive for detection of endocervical abnormalities. Doctors were significantly more satisfied with stationary colposcopy than office cervicoscopy.Conclusions:Office cervicoscopy is a good complementary tool added to stationary colposcopy for detection of cervical lesions in cases with suspicious cervix as an example of high-risk group for cervical cancer. Due to its small caliber, cervicoscopy offers a better evaluation of the endocervical canal, especially in cases of Type 2 and 3 transformation zone with a possibility of examination of the endometrial cavity.

The effectiveness of cold-knife conization (CKC) for post-menopausal women with cervical high-grade squamous intraepithelial lesion: a retrospective study

“…A partial endocervical SCJ is visible using the Kogan Endo Speculum or hygroscopic dilatator [ 10 ].Furthermore, Richards et al [ 11 ] reported that the use of vaginal estrogen cream twice per week for 6 weeks for patients with smear abnormalities and a low estrogen status improved the satisfactory colposcopy rate and improved the accuracy of the prediction of true high-grade pre-invasive disease. We can also use cervicoscopy and microcolposcopy as some authors do [ 12 – 14 ].…”

Office Cervicoscopy versus Colposcopy for Evaluation of Suspicious Cervix ‎in Assiut Governorate

“…These results are comparable to the current work, where, 59% of patients in the colposcopic group and 69% of patients in the office cervicoscopy group received medical attention, followed by diathermic cautery in about 26% of patients in the colposcopic group and 15% in the office cervicoscopy group. Darwish et al [11] concluded that, office cervicoscopy is a good tool for identification of cervical lesions in suspicious cervix, especially if added to stationary colposcopy. Cervicoscopy offers a better assessment of the endocervical canal due to its small caliber, especially in cases of CIN2 and CIN3 with a possibility to examine the endometrial cavity at the same time.…”

Diagnostic discrepancy between colposcopy and vaginoscopy: A case report

“…Exposure and biopsy are two key steps in colposcopy. For patients with a type 3 transformation zone (TZ), some clinicians employ cervicoscopy as a supplemental imaging technique[ 2 ]. However, there were no related solutions for the dilemma caused by adhesions or obstructions.…”